Provider Demographics
NPI:1073740791
Name:TOWLERWEBB, CATHERINE JOAN
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:JOAN
Last Name:TOWLERWEBB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8357 BELL OAKS DR
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630-2586
Mailing Address - Country:US
Mailing Address - Phone:812-202-1871
Mailing Address - Fax:812-853-8850
Practice Address - Street 1:8357 BELL OAKS DR
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-2586
Practice Address - Country:US
Practice Address - Phone:812-202-1871
Practice Address - Fax:812-853-8850
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-20
Last Update Date:2009-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist